Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Posttraumatic Scrotal Reconstruction with a Pedicled "Extended" Superficial Circumflex Iliac Artery Perforator Flap: A Case Report

  • Lucia Sisternas Hernandez (Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu i Sant Pau) ;
  • Susana Lopez Fernandez (Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu i Sant Pau) ;
  • Paul D. Zamora Alarcon (Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu i Sant Pau) ;
  • Carmen Vega Garcia (Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu i Sant Pau) ;
  • Laura Torrano Romero (Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu i Sant Pau) ;
  • Manuel Fernandez Garrido (Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu i Sant Pau)
  • Received : 2023.01.14
  • Accepted : 2023.09.01
  • Published : 2024.05.15
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Abstract

The superficial circumflex iliac artery (SCIA) perforator (SCIP) flap has been used for scrotal reconstruction after Fournier's gangrene, skin cancer, or infections. However, there are few publications with regard to penoscrotal reconstruction after a traumatic injury with this flap. In this article, we propose a new SCIP flap variation, the "extended" or "direct" SCIP flap, to effectively reconstruct a wide scrotal defect after a traumatic injury. The "extended" SCIP flap is designed medial and cranial to the anterosuperior iliac spine (ASIS) using the superficial branch of the SCIA as the main pedicle.

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References

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